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General NPI Number Information
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NPI Number | 1255544250
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Entity Type | Individual
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Provider Name | NEELE MICHELLE HENDERSON M.S. , LPC
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9555 LEBANON RD 301
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City | FRISCO
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State | TX
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Zip | 75035-6080
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Country | US
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Telephone | 469-362-8044
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Fax |
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Provider Business Mailing Address
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Address Line | 2044 HELMOKEN FALLS DR
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City | ANNA
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State | TX
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Zip | 75409-5120
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Country | US
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Telephone | 214-432-1759
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18935
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License Number State | TX
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